PROFESSIONAL HEALTH ALLIANCE, LLC (NPI# 1578095022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578095022 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL HEALTH ALLIANCE, LLC |
| Practice Address |
14150 Sw 119th Ave Suite 102 Miami FL 33186-6012 |
| Mailing Address |
351 Nw 42nd Ave Suite 503 Miami FL 33126-5683 |
| Practice Telephone | 3052514131 |
| Mailing Telephone | 7863465644 |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-05 |
| Authorized Official Name | DR. JUAN M GARCES (OWNER/PRESIDENT) |
| Authorized Official Telephone | 3052514131 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
ME45734 | FL | Ambulatory Health Care Facilities |
| Street Address |
14150 SW 119TH AVE SUITE 102 |
| City | MIAMI |
| State | FL |
| Zip Code | 33186-6012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730501081 | Juan M Garces Md Pa | Non-Pharmacy Dispensing Site | 14150 Sw 119th Ave, Suite 102, Miami, FL 33186-6012 | 2014-01-06 |
| 1437789872 | Prime Care of South Dade | Clinic/Center | 14150 Sw 119th Ave, Miami, FL 33186-6012 | 2020-01-24 |
| 1376075820 | Health Professionals Associates, Inc. | Clinic/Center | 14150 Sw 119th Ave, Suite 102, Miami, FL 33186-6012 | 2017-04-03 |
| 1205368859 | Juan Garces Md Pa | Internal Medicine | 14150 Sw 119th Ave, Suite 102, Miami, FL 33186-6012 | 2017-04-03 |
| 1922530476 | Viva Health LLC | Clinic/Center | 14150 Sw 119th Ave, Suite 102, Miami, FL 33186-6012 | 2017-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962010934 | West Kendall Medical LLC | Durable Medical Equipment & Medical Supplies | 13805 Sw 128th St Ste 201b, Miami, FL 33186 | 2020-07-16 |
| 1902446040 | Claudia Alfonso | Behavior Technician | 13838 Sw 139 Ct, Miami, FL 33186 | 2020-01-07 |
| 1740825256 | West Kendall Baptist Hospital Inc | Non-Pharmacy Dispensing Site | 14150 Sw 136 Street, Miami, FL 33186 | 2019-11-08 |
| 1114561768 | Jami Ferrare | Nurse Practitioner | 9862 Sw 118th Ave, Miami, FL 33186 | 2019-11-06 |
| 1659913473 | Lissette Blanco | Behavior Technician | 9120 Sw 143 Ave, Miami, FL 33186 | 2019-10-14 |
| 1548819949 | Crystal Domenech | Clinic/Center | Stars Center for Speech Therapy & Related Services LLC, 12030 Sw 129th Ct #209, Miami, FL 33186 | 2019-09-09 |
| 1780243931 | Amore Mental Health Corp. | Case Management | 14221 Sw 120 Street, Suite 109, Miami, FL 33186 | 2019-06-11 |
| 1639631047 | Dynasty Mental Health, Inc | Clinic/Center | 13590 Sw 134th Ave Ste 203, Miami, FL 33186 | 2019-04-03 |
| 1922575133 | University Health Care West Kendall, Inc. | Clinic/Center | 13611 Sw 131 Street, Miami, FL 33186 | 2018-10-25 |
| 1245705904 | Lamberto Hernandez | Registered Nurse | 12604 Sw 119th Path, Miami, FL 33186 | 2018-10-09 |
| Find all providers in zip 33186 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1609427202 | University Health Care Bird Road, Inc. | Clinic/Center | 13155 Sw 42nd St Ste 111, Miami, FL 33175-3428 | 2019-09-25 |
| 1922575133 | University Health Care West Kendall, Inc. | Clinic/Center | 13611 Sw 131 Street, Miami, FL 33186 | 2018-10-25 |
| 1073007290 | Yaima Bonet, Arnp, Inc | Clinic/Center | 8080 W Flagler St Ste 2b, Miami, FL 33144-2100 | 2018-06-20 |
| 1902301658 | Family Medicine Home Visits Inc | Clinic/Center | 1898 Sw 27th Ave Ste 1, Miami, FL 33145-2445 | 2018-03-26 |
| 1639622293 | Jm Health Services Inc | Clinic/Center | 12707 Sw 225th St, Miami, FL 33170-4400 | 2016-08-01 |
| 1124476387 | Pmc Medical Management, LLC | Clinic/Center | 80 Sw 8th St Ste 2000, Miami, FL 33130-3038 | 2016-05-28 |
| 1073974838 | Professional Overweight Control | Clinic/Center | 1830 Nw 7th St Ste 1004, Miami, FL 33125-3569 | 2016-03-08 |
| Find all providers in MIAMI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.